When the doctor don't ask for

Publication date: 2013-03-22 source: People's Daily

        Social governance depends on the system, and not by an acquaintance. If you want to see the doctor didn't ask for, basic outlet lies in the liberation of medical productivity, increase the supply of medical resources, at the same time, rational allocation of medical resources

        During the two sessions, the CPPCC national committee Zhou Xinsheng said, there are a lot of ask for thing in our life, and physical requirements. Ask for ask for, is also ask for the requestor, interwoven into a "Chinese style" beings. These words caused the social from all walks of life.

        In fact, in all of ask for things, see the doctor ask for the most representativeness. Due to domestic has not build system of family doctor first, people to see the doctor was blind, sick of flying blind. Especially in the big hospital, registration, examination, hospitalization, surgery, like mounds spans in front, almost everyone will feel anxiety, fear and uncertainty. Many people go to line up after midnight, and may not be able to hang up a visit. From registration to surgery, almost every link request. Time can't afford to consumption, drag shall not be condition. So, after a lot of people are sick, the first reaction is to find an acquaintance, this is really a kind of helpless choice.

        A doctor needs to ask for, reflects the contradiction between supply and demand of health resources in our country. Insufficient at present, our country medical treatment resources, the high quality resources shortage particularly, combined with the urban and rural resources, uneven distribution, resident multi-level, diversified medical needs are going unmet medical care have yet to be fundamentally alleviated. In 2012, 6.9 billion visits, er visits the door of the medical institutions at all levels of per capita looked at 5 times. Though a sharp rise in number of patients, medical personnel quantity has not increased dramatically. Practicing doctors per thousand population of 1.82 people in our country, the registered nurse was 1.66 per thousand population, compared with the developed countries, there is a big gap. So, if you want to see the doctor didn't ask for, basic outlet lies in the liberation of medical productivity, increase the supply of medical resources, the rational allocation of high quality medical resources at the same time.

        Medical is a talent intensive industry, the shortage of medical resources, the most need is talent. Money can build the most luxurious hospital, can buy the most sophisticated equipment, but not necessarily can find the best talent. Because the growth of the doctor, need long-term theory study and clinical practice, can't crash within a few years. Therefore, from a global perspective, the doctor is a high investment professional, is also a high-income career. , by contrast, the doctor's treatment as a whole is low in our country, especially the grassroots doctors treatment of severe low, lead to a lot of talented people don't like to study medicine. Even medical college graduates, there are a large part of the loss. Therefore, through the reform of income distribution mechanism, let doctors become an enviable career, can attract more talents studying medicine medical. Only in this way, more and more high quality medical resources.

        Increase total health resources, both need to increase government investment, also need to play a role of market mechanism. "Two hands" to force at the same time, it can mobilize more social resources into the medical field. Dominant in our country public hospital beds, but the service ability seriously insufficient. In the case of a limited government financial resources, vigorously encourage social capital to run medical, is wise to alleviate the contradiction between supply and demand of health resources. Social capital at the moment, few do non-profit hospital, the main reason is the lack of a strong policy support. In Taiwan, entrepreneurs do non-profit hospital, can enjoy the tax policy, this makes a lot of entrepreneurs to run a hospital for doing charity. If there is no such incentive policy, social capital is difficult to pouring in the medical industry, the contradiction between supply and demand of health care resources will more highlight.

        Of course, it also reflects the doctor ask for a bad social mentality. In the case of a shortage of medical resources, some people with the special social status, through an acquaintance or money through joint, use of public resources. And individual doctors to get benefits by black-box realization of interest exchange. As a result, more difficult for ordinary people to see a doctor has no right to no money. "Hidden rules", not only exacerbated the shortage of health resources, but also affected the social fairness and justice.

        A modern civilized countries, must from the "acquaintance society" to "strangers society". This means that the system of social governance depends on, and not by an acquaintance. Everyone meet acquaintance is limited after all, is also variable, while the system is the most stable and most reliable. Some say, whether health reform is successful, there is a simple standard, that is to see the doctor didn't ask for. This sentence is very reasonable. For governments, only accelerate reform, fully release medical productivity, build a benign operation of the medical system, to get people to see the doctor didn't ask for. (Bai Jianfeng)

        The original links: http://www.jkb.com.cn/htmlpage/35/355045.htm?docid=355045&cat=0K&sKeyWord=null